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Individual

MS. BROOKE ARTESI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPO, LPO

Contact information

Practice address
1700 ROUTE 23 NORTH, WAYNE, NJ 07470-7536
(973) 945-4791
Mailing address
102 FAYSON LAKE RD, KINNELON, NJ 07405-3013

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
45OR00003100
NJ
224P00000X
Prosthetist
45PR00003500
NJ

Other

Enumeration date
06/27/2012
Last updated
09/13/2022
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